NPI | 1598997421 |
---|---|
Entity Type | Organization |
Authorized Contact | BASSAM AWWA Owner 860-449-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2015-06-04 |